Clinical Documentation Integrity
1 month ago
General Summary of Position
The Clinical Documentation Integrity (CDI) Auditor is responsible for providing expert second level review to ensure the quality and integrity of medical records. Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation of clinical findings, care rendered, and the assignment of present on admission (POA) indicators and discharge disposition status for claims under review. The auditor works directly with the CDI Manager and Clinical Documentation Specialists (CDS) to streamline processes, identify training needs and ensure consistent information is shared. Serves as an expert resource for all CDI and coding staff on MS-DRG and APR-DRG payment methodologies as well as coding guidelines and regulatory requirements governing queries. Exemplifies the mission, vision and values of MedStar Georgetown University Hospital (MGUH)and acts in accordance with MGUH policies and procedures
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree B.S. degree in a health care related field required
Experience
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